RN Case Management Professional
4 days ago
Pride Health is seeking an experienced RN Case Manager to join our team. This professional will play a critical role in assessing, planning, implementing, and evaluating care options for patients while ensuring quality outcomes and efficient utilization of resources.
The ideal candidate will have a strong background in acute inpatient care and case management, with experience in managing patient caseloads, providing clinical oversight, developing care management strategies, communicating with stakeholders, and conducting utilization reviews.
The responsibilities of this position include:
- Managing 18-22 patients using a collaborative care process.
- Providing clinical oversight to assess physical and mental health impairments, determine medical necessity using InterQual screening and Medicare guidelines.
- Developing care management strategies to meet patient health needs, reduce length of stay, and optimize resource use.
- Communicating with patients, families, and the healthcare team to ensure cost-effective, high-quality outcomes.
- Evaluating admission appropriateness and benefits/plan eligibility issues through utilization reviews.
To be successful in this role, candidates must possess a BSN degree, minimum 3 years of experience in acute inpatient care and case management, knowledge of current MS patterns of practice, treatment expectations, and eligibility criteria.
Certifications such as CCM (Certified Case Manager) or related certification are preferred. Proficiency with EPIC electronic medical record systems is also required.
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Nursing Case Manager
4 weeks ago
Boston, Massachusetts, United States TotalMed Case Management Staffing Full timeAbout the OpportunityTotalMed Case Management Staffing is seeking an experienced Nurse RN Case Manager for a travel nursing job in Massachusetts.Job Overview & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks, working 40 hours per weekShift: 10 hours, daysEmployment Type: TravelWe require a skilled Registered Nurse - Case Manager to...
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Travel Nurse RN Case Manager
2 days ago
Boston, Massachusetts, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing Job OpportunityWe are seeking a skilled Case Manager-Registered Nurse to join our team for an exciting assignment in Boston, Massachusetts. As a travel nurse with TotalMed Case Management Staffing, you will have the opportunity to work on challenging cases and make a meaningful impact in the healthcare industry.About the...
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Healthcare Professional
3 weeks ago
Boston, Massachusetts, United States PRIDE Health Full timeJob Title: Healthcare Professional - Case Management RNAbout PRIDE HealthPRIDE Health is a minority-owned healthcare recruitment division of Pride Global, an integrated human capital solutions and advisory firm. With its robust travel nursing and allied health employment options across the U.S., PRIDE Health enables you to make a difference in the lives of...
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Professional Registered Nurse Case Manager
24 hours ago
Boston, Massachusetts, United States Tufts Medical Center Full timeTufts Medical Center is seeking a highly skilled professional registered nurse to join our team as a case manager. In this role, you will be responsible for assessing patient needs, developing care plans, and facilitating effective communication among healthcare providers.With an estimated salary of $94,000 per year, this position offers a competitive...
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Case Manager RN Specialist
1 day ago
Boston, Massachusetts, United States Tufts Medical Center Full timeTufts Medical Center is a leading healthcare institution recognized for nursing excellence. Our commitment to providing high-quality patient care is reflected in our Magnet Recognition Program accreditation.The role of the professional registered nurse at Tufts Medical Center is integral to delivering exceptional patient experiences. As a case manager, you...
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Case Management Professional
2 days ago
Boston, Massachusetts, United States Pine Street Inn Full timeResponsibilitiesThe Case Manager will work as part of an intensive case management team, serving tenants who may be experiencing untreated mental illness, active drug and alcohol addiction, and other major health challenges. Key responsibilities include:Providing individualized support to ensure stability and growth in housingCollaborating with other housing...
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Medical Case Manager RN
4 weeks ago
Boston, Massachusetts, United States Supplemental Health Care Full timeAbout the Job">We are seeking a skilled Case Management Registered Nurse to join our team in Boston, Massachusetts. This 13-week travel nursing job offers an exciting opportunity for experienced nurses to provide exceptional care and support patients in need.">Job Details">">Estimated Salary: $2,540 - $2,858 per week">Contract Duration: 13 weeks with...
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RN Administrator
1 day ago
Boston, Massachusetts, United States Pride Health Full timeJob Title: RN Administrator – Case ManagerPride Health, a leading minority-owned healthcare recruitment & staffing firm, is seeking a highly skilled RN Administrator – Case Manager with a strong background in acute inpatient care and case management. As a vital member of our team, you will play a crucial role in assessing, planning, implementing, and...
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Case Management RN Specialist
10 hours ago
Boston, Massachusetts, United States Pride Health Full timeJob Overview: Pride Health is seeking a skilled RN Administrator – Case Manager to join our team. As a key member of our healthcare staff, you will be responsible for managing patient caseloads, assessing physical and mental health impairments, and determining medical necessity using InterQual screening and Medicare guidelines. You will also implement...
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Case Manager Professional
3 weeks ago
Boston, Massachusetts, United States Delta-T Group Inc. Full timeJob OverviewThe Delta-T Group is a nationwide referral service for interim staffing solutions and workforce referrals within the social services, behavioral health, substance abuse, and disability fields.We connect caring professionals with rich and rewarding opportunities. About the OpportunityThis Case Manager in Roxbury role offers direct services to...
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Travel RN Case Manager for Boston Hospitals
4 weeks ago
Boston, Massachusetts, United States Supplemental Health Care Full timeAbout the OpportunityWe are seeking a skilled Travel Registered Nurse to join our team as a Case Management RN in Boston, Massachusetts. This is an exciting opportunity to work with hospitals in need of dedicated professionals like you.Job SummaryThe ideal candidate will have experience in case management and be able to work effectively in a hospital...
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Boston, Massachusetts, United States All Medical Personnel Full timeJob SummaryWe are seeking a skilled RN-Case Manager to join our team of healthcare professionals in Massachusetts. This role involves coordinating patient care, conducting benefit investigations, and communicating case status with key medical practice accounts and sales representatives.About the RoleThis is a fantastic opportunity for a registered nurse with...
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RN Case Management Coordinator
4 weeks ago
Boston, Massachusetts, United States All Medical Personnel Full timeJob OverviewWe are seeking a skilled RN Case Management Coordinator to join our team at All Medical Personnel in Albuquerque, NM.Estimated Salary: $1500-$1800 per weekThis is a unique opportunity to work in a dynamic environment where you will be responsible for coordinating medical care and matching patient needs with healthcare resources.Key...
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Healthcare Case Manager RN Position
24 hours ago
Boston, Massachusetts, United States Molina Healthcare Full timeWe are seeking a skilled and experienced Registered Nurse to join our team as a Case Manager RN. This role is perfect for individuals who want to make a meaningful difference in the lives of our members.As a Case Manager RN, you will work closely with our interdisciplinary care team to assess, facilitate, plan, and coordinate high-quality care for our...
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Healthcare Traveler
1 day ago
Boston, Massachusetts, United States Titan Medical Group Full timeWe are seeking a skilled Healthcare Traveler - Case Management Specialist to join our team at Titan Medical Group. This is a unique opportunity to work as a travel nurse RN in a case management role, providing high-quality care to patients while enjoying the benefits of traveling and exploring new destinations.The estimated salary for this position ranges...
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Nursing Professional
1 day ago
Boston, Massachusetts, United States Tufts Medical Center Full timeAt Tufts Medical Center, we are committed to delivering exceptional patient care and advancing the field of nursing. As a Prof RN - Case Manager, you will play a critical role in this mission by providing expert nursing care services in accordance with physician orders.About the RoleThis position focuses on assessing, planning, implementing, and evaluating...
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Traveling Case Manager Nurse
4 weeks ago
Boston, Massachusetts, United States PRIDE Health Full timeAs a seasoned travel nurse, you will have the opportunity to work with PRIDE Health in Boston, Massachusetts.About the JobPRIDE Health is seeking an experienced travel nurse RN Case Management professional for a 13-week assignment. This role requires a strong background in case management and excellent communication skills.The ideal candidate will have 40...
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Travel Nurse RN Case Management Opportunity
4 weeks ago
Boston, Massachusetts, United States Supplemental Health Care Full timeCase Management Travel Nurse Job in Boston, MassachusettsWe are seeking a skilled Case Management Registered Nurse (RN) to join our team at a top hospital in Boston, Massachusetts. This is an exciting opportunity for a dedicated and compassionate nurse to work with a diverse patient population and contribute to the delivery of high-quality patient care.About...
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Travel RN Case Management Specialist
4 weeks ago
Boston, Massachusetts, United States Titan Medical Group Full timeWe are seeking a skilled Travel RN to join our team in Boston, MA.About the OpportunityTitan Medical is committed to providing high-quality healthcare services and we're looking for dedicated professionals like you to help us achieve this goal.Estimated Salary Range: $130,000 - $150,000 per yearJob Description:The successful candidate will work as a Case...
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Case Manager RN Role
6 days ago
Boston, Massachusetts, United States Anders Group Full timeJob ResponsibilitiesThis position requires a qualified Registered Nurse with 2+ years of experience to work as a Case Manager. The ideal candidate will have strong communication skills and be able to manage patient cases effectively.